ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Nurses' Notes
Vital Signs
Laboratory Results
0950:
A male client transferred to room from PACU following abdominal surgery. Report received that estimated blood loss in the procedure was 1200 mL. Client is alert and talking. Lung sounds clear, heart regular rate and rhythm, hypoactive bowel sounds. Sequential compression devices in place and peripheral pulses palpable and equal bilaterally. Client can feel and wiggle toes.
1025:
Called to room. Client appears agitated. The client states, "I feel like something is wrong." Lung sounds clear, increased rate and depth of respirations noted. Client rates incisional pain as 5 on a scale of 0 to 10. Surgical dressing dry and intact. Hypoactive bowel sounds. Peripheral pulses palpable and strong capillary refill time (CRT) less than 3 seconds,
Question 1 of 5
The nurse should first follow up on the client's ___ and ___
| oxygen saturation |
| pain |
| WBC count |
| behavioral findings |
| bowel findings |
Correct Answer: A,D
Rationale:
Step-by-step rationale for selecting A and D as the correct answers:
1. Oxygen saturation : This is crucial to assess the client's respiratory status and ensure adequate oxygenation, which is a priority in any healthcare setting.
2. Behavioral findings (
D): Changes in behavior can indicate pain, distress, or other underlying issues that may require immediate attention.
3. Pain (
B): While pain is important to assess, oxygen saturation and behavioral findings (
D) take precedence as they are more directly related to the client's immediate well-being.
4. WBC count (
C): While WBC count can indicate infection, it is not typically the first assessment to be done unless there are specific signs or symptoms suggesting an infection.
5. Bowel findings (E): While bowel findings are important, they are not typically the first assessments to be done unless the client is presenting with specific gastrointestinal complaints.
Therefore, the correct answers are A and D because they are the most critical assessments
Extract:
Medical History
Medication Administration Record
Diagnostic Results
Day 1:
0800:
The client is postoperative following a hip arthroplasty.
Question 2 of 5
The client is at risk for developing ___ due to ___
| Confusion |
| Pressure injuries |
| Hypoglycemia |
| Constipation |
| Dysrhythmias |
| Opioid use |
| Immobility |
Correct Answer: A,D
Rationale: [0, 0, 1, 1, 0, 0, 1]
To determine the correct answer, consider the client's risk factors. Confusion can result from constipation (
D) due to the impact of bowel issues on cognition.
Therefore, the correct choices are A and D. Pressure injuries (
B) are more related to immobility (G), hypoglycemia (
C) is linked to medication or dietary factors, dysrhythmias (E) are often cardiac-related, and opioid use (F) may lead to constipation but not confusion in this context.
Extract:
Vital Signs
Medical History
Nurses' Notes
1000:
Temperature 36° C (96.8° F)
Blood pressure 118/56 mm Hg
Heart rate 92/min
Respiratory rate 18/min
Oxygen saturation 95% on room air
1200:
Temperature 37.2° C (99° F)
Blood pressure 104/56 mm Hg
Heart rate 62/min
Respiratory rate 12/min
Oxygen saturation 94% on room air
Question 3 of 5
The client is most at risk of developing ___ and ___
| urinary tract infection |
| delayed wound healing |
| deep vein thrombosis |
| atelectasis |
| paralytic ileus |
Correct Answer: D,E
Rationale: Parameters:
Correct
Answer: (0, 0, 0, 1, 1, 0, 0)
Rationale:
- Atelectasis is a condition where the lungs do not expand fully, increasing the risk of respiratory complications.
- Paralytic ileus is a condition where the intestines stop working, leading to potential bowel obstruction.
- Urinary tract infection, delayed wound healing, and deep vein thrombosis are not directly related to the client's risk factors in this scenario.
Extract:
Question 4 of 5
A nurse is providing teaching to an older adult client about factors that increase the risk of urinary tract infection. Which of the following information should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Decreased bladder tone can cause urinary retention. In older adults, decreased bladder tone can lead to incomplete emptying of the bladder, increasing the risk of urinary tract infection. Bladder capacity decreasing (
A) is a normal part of aging but does not directly increase the risk of UTI. The urethral sphincter functioning less efficiently (
B) may contribute to urinary incontinence but not directly to UTI. The ability to concentrate urine decreasing (
D) is a normal part of aging but does not directly impact UTI risk.
Question 5 of 5
A charge nurse is teaching a group of newly licensed nurses about the health risks for family caregivers of clients who are chronically ill. Which of the following should the nurse include as placing a family caregiver at risk?
Correct Answer: D
Rationale: The correct answer is D: Providing care for greater than 1 year. Long-term caregiving can lead to physical and emotional strain, burnout, and increased risk of health problems for family caregivers.
Choice A (Previous caregiver experience) is not a risk factor on its own.
Choices B (25 to 50 years of age) and C (Lives in a different dwelling than the client) are not inherently risky factors for caregivers.